Answer
Answer
The lips are a highly visible facial structure used in speech articulation, food consumption, and tactile sensation. Because of their prominent location on the face, lacerations of the lips can be cosmetically deforming. See the images below.
Lip lacerations are commonly seen in emergency departments and are one of the most common oral-maxillofacial injuries. [1] Careful repair is necessary to minimize infection while ensuring the best cosmetic results and patient satisfaction. [2] The approach in repair depends largely on location and type of injury. [3, 4] For more information, see the Medscape articles Facial Soft Tissue Injuries and Facial Soft Tissue Trauma.
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Media Gallery
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Equipment for the anesthesia, irrigation, and closure of a lip laceration.
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Lip laceration involving the lower vermilion border.
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Identification of intraoral skin laceration.
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Lip laceration involving the upper vermilion border.
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Deep intraoral lip laceration that needs repair.
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Technique for extraoral infraorbital nerve block.
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Intraoral approach for infraorbital nerve block.
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Placement of the first suture through the vermilion border.
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Assessing for mobile or broken teeth.
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Further inspection of the anesthetized wound reveals a through-and-through laceration.
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Extraoral approach to close the deep layer.
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Wound approximation after 2 deep sutures are placed.
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First suture aligning the vermilion border.
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Placement of intraoral skin suture with buried knot.
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Closure of an intraoral skin laceration.
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Closure of an intraoral laceration.
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Intraoral approach to close the deep layer.
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Wound approximation after placement of deep muscular sutures.
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Placement of the first suture through the vermilion border.
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Placement of the first suture through the vermilion border.
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Complete closure of the facial skin.
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Complete closure of the facial skin.
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Illustration of the upper and lower vermilion border.
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Areas of regional nerve blocks for the lips.
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